Form 15 Motion To Change Page 4

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Form 15: Motion to Change Order or Agreement
(page 4)
Court File Number
Starting on
,
(date)
(name of party)
pay to
(name of party)
$
for the following special or extraordinary expenses:
Terms of Payment
Total Amount
Child's Name
Type of Expense
Payor's Share
(frequency of payment, date
of Expense
due, etc.)
$
$
$
$
$
$
$
$
$
$
Other:
(give details)
6.
Orders dealing with the outstanding child support owed as follows:
The child support owed to
(name of recipient)
be fixed at
as of
.
$
(date)
pay to
(name of recipient)
(Name of payor)
$
per month, with
payments to begin on
until the full amount owing is paid.
(date)
The child support owed to
(name of agency or other person)
be fixed at
as of
.
$
(date)
pay to
(Name of payor)
(name of agency or other person)
$
per month, with
payments to begin on
until the full amount owing is paid.
(date)
7.
An order that the spousal support be changed as follows:
The order/agreement for spousal support, dated
be terminated effective
.
(date)
pay spousal support to
(Name of party)
in the amount of
(Name of party)
$
per month, effective on
.
(date)
Other
(give details of the order you want the court to make)
8.
An order that the outstanding spousal support owed be paid as follows:
The spousal support owed to
(name of recipient)
be fixed at
as of
.
$
(date)
pay to
(Name of payor)
(name of recipient)
$
per month, with
payments to begin on
until the full amount owing is paid.
(date)
FLR-15-E (2016/04)
Page 4 of 5

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